| NPI | 1790754349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KS 04-26188) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 105975) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-08-09 |