| NPI | 1992796106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI 8636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 82040) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2014-11-14 |