| NPI | 1366454399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 63743) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC TL29256) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0066161) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-20 |