| NPI | 1629575519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 05-46576) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2022033863) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-10-31 |