| NPI | 1164869731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 270882) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 256062) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2020-11-04 |