| NPI | 1982862926 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D90730)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301091439)  | 
| Enumeration Date | 2008-05-27 | 
| Last Update Date | 2021-08-10 |