| NPI | 1316524135 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 72087)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 72087)  | 
| 207V00000X Obstetrics & Gynecology (Licence: MN 31560)  | |
| Enumeration Date | 2021-03-26 | 
| Last Update Date | 2025-06-20 |