| NPI | 1336309491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME114973) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-01020) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2013-04-10 |