| NPI | 1063807600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 278055) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 263545) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2019-05-24 |