| NPI | 1245404391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 243571) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6808732-1205) |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2011-08-18 |