| NPI | 1922504760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301514638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2022014472) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-08-15 |