| NPI | 1992963219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO1596) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017005) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-03-05 |