| NPI | 1265882708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 282294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA Ot017335) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-01-04 |