| NPI | 1235275520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 60053) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME134896) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-13 |