| NPI | 1255353421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 102469) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD8463) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-04-14 |