| NPI | 1487749768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 17213) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD16490) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 65781) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-01-03 |