| NPI | 1154640100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 118750) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 25511) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A127225) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2014-09-02 |