| NPI | 1093954828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 43016) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R1117) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP735) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2014-07-02 |