| NPI | 1821065723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 24235) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 5497) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-03-07 |