| NPI | 1457471138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04.36381) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 49689) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-10-03 |