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 |