| NPI | 1619130010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2012014548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008015415) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-01-26 |