| NPI | 1720068562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 47822) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 52296) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-21 |