| NPI | 1245266840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 23879) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 34109) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-08-11 |