| NPI | 1770878928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 55386) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 55386) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2020-11-10 |