| NPI | 1548230931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0012740) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NH 12548) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-02-07 |