| NPI | 1861856734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME162176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 73470) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-08-29 |