| NPI | 1225136138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 61399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35085807) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 039332) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-13 |