| NPI | 1952689804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME122642) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301099430) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2015-06-20 |