| NPI | 1083614259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 053315) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME168489) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-06-05 |