| NPI | 1336599653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A167853) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-09052) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-08-07 |