| NPI | 1104820042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0064647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 76337) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2023-10-17 |