| NPI | 1346779204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149854) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT213788) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-01-14 |