| NPI | 1699771402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 267758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 202959) |
| 207V00000X Obstetrics & Gynecology (Licence: VT 042.0010091) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 267758) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2017-05-01 |