| NPI | 1467702480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 73068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 49219) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2023-03-10 |