| NPI | 1891006185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 267700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT197656) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2020-11-17 |