| NPI | 1720262579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 20299) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-34880) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-04-23 |