| NPI | 1225056583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 039878) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD23152) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2019-02170) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 307327) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-12-13 |