| NPI | 1417017450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 44072) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D58709) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-02-11 |