| NPI | 1619982493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 265450) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-07-3629-S) |
| 207V00000X Obstetrics & Gynecology (Licence: NH 10973) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2025-04-15 |