| NPI | 1710152368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1018278) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443866) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-01-24 |