| NPI | 1780640441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 59805) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 59805) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-05-31 |