| NPI | 1205275070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0014256) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 255395) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 290401) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2019-01-03 |