| NPI | 1033571526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD17079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 267545) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-01-11 |