| NPI | 1992009955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 259890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301111023) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2024-06-27 |