| NPI | 1164477170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R6N60) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-25211) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2021-02-25 |