| NPI | 1316307374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME140246) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD456788) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2019-07-22 |