| NPI | 1811154297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 244137) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP00863) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2013-09-18 |