| NPI | 1487214532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 74572) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351044671) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-09-07 |