| NPI | 1215115852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME107910) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT185830) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-09-09 |