| NPI | 1376744904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME106713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN11243) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 65741) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-09-01 |