| NPI | 1538518873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0016531) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP03757) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-01-31 |