| NPI | 1326210238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 001989) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME125129) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2016-09-02 |