| NPI | 1316478316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 55767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R4559) |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP301) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-01-04 |