| NPI | 1952728149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301114643) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 260349) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 283134) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-07-13 |