| NPI | 1215997135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 101214) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 46621) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-11-23 |