| NPI | 1003178989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME136489) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL34895) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2020-10-22 |