| NPI | 1730194978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 23269) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 23269) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2024-10-01 |