| NPI | 1134383813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 26103) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301092844) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP444) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-08-26 |