| NPI | 1104082411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 52858) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ND 13661) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-01-13 |