| NPI | 1255435707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 71607) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 19846) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ME MD23120) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2021-10-08 |