| NPI | 1356791271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 68842) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016021002) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 32313) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-06-02 |