| NPI | 1740609445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 69873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 65260) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-10-06 |