| NPI | 1528454311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 81407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD196723) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2026-02-25 |