| NPI | 1619979408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 151665) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 151665) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |