| NPI | 1033313846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 04294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 2214) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102204565) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2019-01-16 |