| NPI | 1912392184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 70966) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ND 15651) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-04-13 |