| NPI | 1932692068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 05-46486) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-09555) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-07-21 |