| NPI | 1255969994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61557022) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R5401) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-08-02 |