| NPI | 1346502234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME148744) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016016498) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-08-12 |