| NPI | 1619073988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 38937) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH RT-1574) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-07-06 |