| NPI | 1174904379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2019035399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 05-42320) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-12-30 |