| NPI | 1891089769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 67022) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT199952) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A134850) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R8201) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2020-12-03 |