| NPI | 1285371104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 74723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 32529) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-04-23 |