| NPI | 1992189617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301119263) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301107951) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-09-06 |