| NPI | 1366860108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 71097) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD187417) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2022-09-23 |