| NPI | 1104908615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 36170) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025537) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-08-02 |