| NPI | 1780676809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: KY 25211) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 25211) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2012-06-04 |