| NPI | 1114114550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD176904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6360465-1205) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP119) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-03-08 |