| NPI | 1679913545 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME162700) | 
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA 147967) | 
| 207V00000X Obstetrics & Gynecology (Licence: GA 006126) | |
| Enumeration Date | 2013-06-25 | 
| Last Update Date | 2024-02-01 |