| NPI | 1003889668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME127237) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD422212) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-09-29 |