| NPI | 1225397847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME143781) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD458251) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2023-12-13 |