| NPI | 1346745957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1020992) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61258679) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 1020992) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-11-06 |