| NPI | 1538153739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA 26462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 26462) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-09-28 |