| NPI | 1821300807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 54140) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI DO00810) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2015-07-14 |