| NPI | 1295939882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME100481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0015675) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-03-30 |