NPI | 1235498114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: MO 2017013100) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R2916) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2017013100) | |
Enumeration Date | 2012-05-11 |
Last Update Date | 2020-10-06 |