| NPI | 1912387523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 53199) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 53199) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-09-21 |