| NPI | 1700381035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MN 76284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 76284) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 72306) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-06-25 |