| NPI | 1609069558 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 62949)  | 
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX M6911)  | 
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NH 15363)  | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ME 018899)  | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VT 042.0012264)  | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 73273)  | |
| Enumeration Date | 2007-08-23 | 
| Last Update Date | 2021-11-02 |