| NPI | 1023067204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 52019) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 50968-20) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-03-09 |