| NPI | 1114313517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 290841) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 298289-1) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-03-08 |