| NPI | 1568845923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 23756) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 67427) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 73776) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 274346457) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-03-28 |