| NPI | 1619298635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 30926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-37104) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2018-08-07 |