| NPI | 1134357320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 79641) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013005687) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2025-08-26 |