| NPI | 1528447273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 80556) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.143183) |
| 207V00000X Obstetrics & Gynecology (Licence: IA R- 10259) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2025-10-09 |