| NPI | 1912199175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD154523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 6759) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2019-04-29 |