NPI | 1134578594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD215332) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA md61423137) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD469903) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2023-08-15 |