| NPI | 1609571371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 77370) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 33300) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-09-13 |