| NPI | 1972916914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301105275) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01610) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2022-12-09 |