| NPI | 1124395587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD24058) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH LT4390) |
| 207V00000X Obstetrics & Gynecology (Licence: OK 29886) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2021-11-30 |