| NPI | 1265666739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110712) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN11478) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2020-10-26 |