| NPI | 1821675307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1024409) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP05444) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-09-10 |