| NPI | 1841515772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD14553) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 390200000X) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2014-06-10 |