| NPI | 1720354905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 59178) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 59178) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2016-01346) | |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2021-11-16 |