NPI | 1285098061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-00649) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R4070) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-07-10 |