| NPI | 1568604692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 46184) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R2171) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2020-12-04 |