| NPI | 1174668107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 7570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 32213) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-06-20 |