| NPI | 1245851781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 69659) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 30741) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2021-08-30 |