| NPI | 1003131889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 49583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-01438) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-09-28 |