| NPI | 1396729851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60959358) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 208945) |
| 207V00000X Obstetrics & Gynecology (Licence: RI MD17233) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2021-03-02 |