| NPI | 1720215262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101018308) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 05-36523) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2013-06-06 |