| NPI | 1871585075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 0420051) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008002440) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-02-06 |