| NPI | 1780878330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 03678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN DO0000001939) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2019-10-14 |