| NPI | 1992926893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 52114) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301086305) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2009-11-11 |