| NPI | 1013926633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 160005) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD11246) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-06-04 |