| NPI | 1366753642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 1016727) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 53395) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2025-05-06 |