| NPI | 1013578905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1014304) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT217587) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2023-09-20 |