NPI | 1154374890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 77990) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 77990) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NH 10781) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2021-03-29 |