| NPI | 1679065817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD18565) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 00000) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-04-18 |