| NPI | 1497068423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 59649) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096090) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2021-06-10 |