| NPI | 1881753689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D33419) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 233739) |
| 207V00000X Obstetrics & Gynecology (Licence: NH 10361) | |
| 207V00000X Obstetrics & Gynecology (Licence: VT 8398) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2015-11-09 |