| NPI | 1417247628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 0445858) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E9233) |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2026-07-01 |