| NPI | 1336386093 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 57124) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT192155) | 
| 207V00000X Obstetrics & Gynecology (Licence: MN 57124) | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 69306) | |
| 207V00000X Obstetrics & Gynecology (Licence: MN 106911) | |
| Enumeration Date | 2009-01-16 | 
| Last Update Date | 2024-04-23 |