| NPI | 1740501121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 32483) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 261259) |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2020-05-12 |