| NPI | 1326495334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 68369) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101022394) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-10-28 |