| NPI | 1699791244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 268057) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MA 268057) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-04-08 |