| NPI | 1144648320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 71203) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301105059) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2024-05-16 |