| NPI | 1063507259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 14971) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VI 3341) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME119015) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2022-03-03 |