| NPI | 1386178630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1015445) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 62757) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-08-16 |