| NPI | 1336184399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 36835) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 36835) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 36835) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-07 |