| NPI | 1790976819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 243408) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA L-233463) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-10-19 |