| NPI | 1609070317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TN 60908) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 60908) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101244198) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-03-21 |