| NPI | 1558589762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 112499) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-20570) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-08-27 |