| NPI | 1356342067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 73480) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 73480) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |