| NPI | 1033315189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03488) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101017364) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-04-16 |