| NPI | 1144532912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME147254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 274658) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-10-06 |