| NPI | 1831548254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 94-08988) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020023402) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-03-17 |