| NPI | 1598706020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 32399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 7451) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-04-26 |