| NPI | 1285811232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 106271) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 246903) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2013-03-22 |