| NPI | 1376855080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 97397) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 59709) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 49124) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301097155) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 49124) | |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2023-12-14 |