| NPI | 1902243926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 073149) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 255762) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-01-12 |