| NPI | 1437355930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 58308) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 107748) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301090088) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-12 |