| NPI | 1144537812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03516) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: KY 03516) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OT012753) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2022-11-21 |