| NPI | 1265416663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KS 0425330) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 425330) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 425330) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2012-05-24 |