| NPI | 1639176910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 031416) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 242462) |
| 207V00000X Obstetrics & Gynecology (Licence: CA G49767) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0033764) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 145062-1) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09212800) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2019-03-05 |