| NPI | 1235108366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 45865) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 45865) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-02-06 |