| NPI | 1770994782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 67569) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT205729) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-07-24 |