| NPI | 1376794156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 100764) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248984) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2023-04-20 |