| NPI | 1134452436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 277417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD456803) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2019-05-02 |