| NPI | 1972896694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME119737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN15983) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2018-08-29 |