| NPI | 1528282357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 54176) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NH 7665) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-05-27 |