| NPI | 1790165694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 280900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 263717) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-07-31 |