| NPI | 1760604573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 7579) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0432160) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-10-09 |