| NPI | 1265412480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 58931) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200101202) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 46990) | |
| 207V00000X Obstetrics & Gynecology (Licence: SD 9163) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-08-31 |