| NPI | 1356347371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0425627) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 0425627) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2025-06-05 |