| NPI | 1104912120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 11545) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 3731-320) |
| 207V00000X Obstetrics & Gynecology (Licence: MT 32724) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-04-22 |