NPI | 1023646080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 69571) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 30903) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2021-07-15 |