| NPI | 1366752107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A113893) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME123211) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 051012) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2019-02-25 |