| NPI | 1003875659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 232139) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD070080L) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-03-27 |