| NPI | 1326331760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-00932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 48324) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2021-08-31 |