| NPI | 1982138863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 69884) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69884) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-08-20 |