| NPI | 1265468268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME132398) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 033313) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-10-26 |