| NPI | 1952103525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 83061) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 35074) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2026-07-21 |