| NPI | 1619396900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 286473) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD16361) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-08-13 |