| NPI | 1033178280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 56751) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 106864) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0055882) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-21 |