| NPI | 1255595534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KS 04-38932) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: KS 04-38932) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2017-01-09 |