| NPI | 1558743229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 31573) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-08642) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-08-14 |