| NPI | 1821401225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 80862) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 273539) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CT 80862) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-03-09 |