| NPI | 1003859372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD126191) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME89990) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-08-06 |