| NPI | 1326276627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 106887) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL31725) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-11-10 |