NPI | 1821134610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX U7039) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 262952) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VT 042.0011596) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2025-09-25 |