| NPI | 1972120962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 2914) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014711) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-07-30 |