| NPI | 1285645556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 043482) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 246023) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2021-10-21 |