| NPI | 1316920978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME102794) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 38058) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2021-01-06 |