| NPI | 1215945027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 229996) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 042689) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-03-04 |