| NPI | 1962065219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 011238) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101027374) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-08-05 |