| NPI | 1164783890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 29143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 35088) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2025-05-28 |