| NPI | 1003006651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND PT 12031) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125-052562) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 69354) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-12-13 |