| NPI | 1295965069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 62905) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 55290-20) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-07-21 |