| NPI | 1063626331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-47124) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD425414) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2009022059) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-09-18 |