| NPI | 1952379497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MN 48116) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MN 48116) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2017-11-29 |