| NPI | 1922312735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 53372) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 104940) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-10-29 |