NPI | 1255515466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA C159292) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME125636) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 266257) | |
Enumeration Date | 2007-12-24 |
Last Update Date | 2021-12-17 |