| NPI | 1770624629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 60999) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 46462) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 43716) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-03-24 |