| NPI | 1982967105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 265956) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 252130) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-04-11 |