| NPI | 1598790743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 228619) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO 0049649) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-03-06 |