| NPI | 1417132572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A125872) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP01012) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0229) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2019-09-11 |