| NPI | 1710234570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 67939) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 49159) |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2022-11-08 |