| NPI | 1700015062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD160579) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 9407293) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2014-06-04 |