| NPI | 1164714788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01327) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME124636) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2018-09-20 |