| NPI | 1902287998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 278831) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT208936) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-11-30 |