| NPI | 1821255621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 4036) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP00744) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-06-26 |