| NPI | 1124768791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 74678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 32574) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-07-13 |