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 |