| NPI | 1316524135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 72087) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 31560) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-07-19 |