| NPI | 1003895780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: GA 70748) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 46727) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2006-00745) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-06-24 |