| NPI | 1073924106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD16982) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA S16617077) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2023-02-17 |