| NPI | 1184649360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NH 14315) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 77049) |
| 208000000X Pediatrics (Licence: NH 14315) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-04-19 |