| NPI | 1457845810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 72108) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018020845) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-07-19 |