| NPI | 1154526218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME138214) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101245704) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 54761) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-07-21 |