| NPI | 1992921894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME151949) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 1795991) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301088377) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-08-03 |