| NPI | 1124011556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 28093) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 28093) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2021-04-08 |