| NPI | 1538301650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 59828) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD45636) |
| 207V00000X Obstetrics & Gynecology (Licence: SD 9597) | |
| 207V00000X Obstetrics & Gynecology (Licence: NE 30942) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2021-01-17 |