| NPI | 1700071859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101262494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC TL30314) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2007-01785) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2021-09-29 |