| NPI | 1003823907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 12299) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48239) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-06-29 |