NPI | 1477788701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 325414) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 265525) |
207V00000X Obstetrics & Gynecology (Licence: PA MT195069) | |
Enumeration Date | 2009-05-15 |
Last Update Date | 2023-11-03 |