| NPI | 1003079013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 58525) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 58525) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-05-14 |