| NPI | 1972585776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: RI MD07452) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI 7452) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-01-28 |