| NPI | 1780959148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 60227) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 60027) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-10-30 |