| NPI | 1003808130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 35798) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 35798) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-06-01 |