| NPI | 1235304403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 233446) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD449067) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-09-30 |