| NPI | 1013225317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME121386) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 106943) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2022-07-21 |