| NPI | 1962660480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 64843) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 52288) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-02-15 |