| NPI | 1174960256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 48420) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP530) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 9408175) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2023-03-07 |