| NPI | 1992902407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY TP334) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 047898) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 285992) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2017-01-24 |