| NPI | 1154399905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD17375) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101050803) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-10-29 |