| NPI | 1275970402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 67963) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-9686) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 67963) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2021-11-02 |