| NPI | 1841225745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 234638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 15554) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-06-12 |