| NPI | 1639336019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 46439) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP00848) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2020-12-03 |