| NPI | 1720234107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 0438153) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD040474) |
| 207V00000X Obstetrics & Gynecology (Licence: OH abcdefg1) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2015021377) | |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2021-02-10 |