| NPI | 1811424591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME168955) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 28779) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 64115) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-10-01 |