| NPI | 1356472971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 43752) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP292) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-10-27 |