| NPI | 1356396287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 22540) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME121001) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 042897) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2024-01-17 |