| NPI | 1225034275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-26992) |
| Additional Taxonomies | 174400000X Specialist |
| 174400000X Specialist (Licence: KS 0426992) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-04-16 |