| NPI | 1841797636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 79491) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-50100) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10063956) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2026-06-30 |