| NPI | 1063919074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 76909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61318574) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2018019255) | |
| 207V00000X Obstetrics & Gynecology (Licence: NE 35546) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2024-12-02 |