| NPI | 1073544995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 44323) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ND 5961) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-03-11 |