| NPI | 1790911238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 20689) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP332) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 46455) | |
| 207V00000X Obstetrics & Gynecology (Licence: WY 12405A) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-01-06 |