| NPI | 1447946405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 77485) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 33554) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-07-02 |