| NPI | 1093044588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME122711) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 255810) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08682800) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2020-11-13 |