| NPI | 1003843327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-32836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007006298) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2011-09-15 |