| NPI | 1912393109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2019015690) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-42096) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-09-01 |