| NPI | 1346249356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R2D15) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 04-36939) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-11-19 |