| NPI | 1275813305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 61186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 269246) |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2020-08-20 |