| NPI | 1578743266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 51329) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 103853) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2020-09-18 |