| NPI | 1699120972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 67210) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 68203) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 1699120972) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-06-10 |