| NPI | 1528077039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 154146) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: RI MD11051) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2025-01-21 |