| NPI | 1386641371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A34149) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME 008628) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2023-03-07 |