| NPI | 1053694539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149269) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458253) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D85692) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-03-07 |