| NPI | 1952842486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101028134) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.015028) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101023201) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2025-02-24 |