| NPI | 1407864739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0008267) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 10958) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-07-18 |