| NPI | 1245646215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME152412) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD464066) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-06-26 |