| NPI | 1396865879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X (Licence: MA 239110) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 225872) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 239110) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-10-20 |