NPI | 1679992994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 80445) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 260438) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2025-06-23 |