| NPI | 1952345415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 20765) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 20765) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2010-02-10 |