| NPI | 1164407938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 60284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 60284) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2012-07-31 |