| NPI | 1093947756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME125589) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT AB350126919) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2016-10-03 |