| NPI | 1255861035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 64219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 64219) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-06-24 |