| NPI | 1578907820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 66027) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 290063) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-07-21 |