| NPI | 1487626495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 30926) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 30926) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2021-01-22 |