| NPI | 1669934675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1013261) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 30326) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 67750) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-05-10 |