| NPI | 1770628794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 53956) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35125756) |
| 207V00000X Obstetrics & Gynecology (Licence: KY R0787) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-10-27 |