| NPI | 1134348287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 235177) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 222255) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-04-25 |