| NPI | 1356672877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME125425) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 049695) |
| 207V00000X Obstetrics & Gynecology (Licence: RI MD14213) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2016-10-03 |