| NPI | 1689680274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 230186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD426519) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-06-22 |