| NPI | 1215914734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R4N05) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 0435757) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2018-01-08 |