| NPI | 1326576661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 05031) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP989) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5315085310) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2021-08-03 |