| NPI | 1174734479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME102660) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 244877-1) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 57007165) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-06-21 |