| NPI | 1124072962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME1245740) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0430027) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-10-04 |