| NPI | 1811031230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 49609) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R1118) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 23603) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY TP315) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-04-02 |