| NPI | 1023301066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 277204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258909) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2019-01-30 |