| NPI | 1255396727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 256992) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 9244) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-03-17 |