| NPI | 1679989958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MN 59304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 59304) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2020-08-05 |