| NPI | 1174866537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS16180) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0012074) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-03-04 |