| NPI | 1164837399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 273938) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7163) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-10-20 |