| NPI | 1811966500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 33349) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 33349) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-12-04 |