| NPI | 1548423957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 45165) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008018566) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2017-05-04 |