| NPI | 1659474609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 210563) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 15840) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2016-08-30 |