| NPI | 1346534716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME123721) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN 15960) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-04-29 |