| NPI | 1225204803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 48967) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 105573) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-08-06 |