| NPI | 1063464873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.052164) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 38559) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SC 39220) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2021-01-04 |