| NPI | 1043605082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-47590) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019016452) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-06-06 |