| NPI | 1790985802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 046997) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0012103) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 046997) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2016-08-09 |