| NPI | 1558572628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 05-38929) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2010014077) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 5101016898) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-12-03 |