| NPI | 1790136638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2020-02853) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-02853) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301110475) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-03-08 |