| NPI | 1073958773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY TP403) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2017004293) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-07-16 |