| NPI | 1922040567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 42624) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D61836) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-07-21 |