| NPI | 1386062859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 62267) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME137170) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-11-30 |