| NPI | 1003888660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 24393) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 24393) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-02-06 |