| NPI | 1356872303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021024233) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R4339) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2021-08-05 |