| NPI | 1922623263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021045480) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014251) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-07-13 |