| NPI | 1205099496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: KY 44086) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 44086) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2019-04-12 |