| NPI | 1790125565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 50260) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 36029) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-04-02 |