| NPI | 1952369175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 204995) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 204995) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-09-06 |