| NPI | 1942869052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY TP723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351045060) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-08-17 |