| NPI | 1962841254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 280740) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020663) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 56357) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-03-04 |