| NPI | 1366581118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME91435) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME91435) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-04-16 |