| NPI | 1144389040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 246994) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NH 7159) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-11-14 |