NPI | 1164484382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 2177252) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 48270) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VT VT 042-0010589) | |
Enumeration Date | 2006-04-04 |
Last Update Date | 2022-12-21 |