| NPI | 1649596693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 8153515-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD167309) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID M-14339) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-10-11 |