| NPI | 1538397112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NC 2013-00296) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009012952) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-12-05 |