| NPI | 1609118900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD198187) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 1411) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-04-17 |