| NPI | 1912648288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 33557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 77446) |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2024-08-01 |