| NPI | 1225563836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 64362) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 28768) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 64362) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-10-03 |