| NPI | 1851786677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 069329) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 278114) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-09-29 |