| NPI | 1447838990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 72009) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 31820) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-08-11 |