NPI | 1154521938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN MD51445) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090187) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2011-00240) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2022-03-14 |