| NPI | 1922241512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 86708) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 46536) |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2021-02-06 |