| NPI | 1255747051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ND 17243) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 59430) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 59430) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2021-08-30 |