| NPI | 1497710412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 28873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 25626) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |