| NPI | 1891291894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 65965) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 29235) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2024-09-25 |