| NPI | 1508397951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 14290243-1205) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NV 30162) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID 8881727) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WY 20270C) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 70586) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-08-27 |