| NPI | 1083319719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 000000) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 77590) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-08-14 |