| NPI | 1053759316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD15836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 272435) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-12-22 |