| NPI | 1578550067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 3220) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AK 3220) |
| 208800000X Urology (Licence: AK 3220) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2017-10-04 |