| NPI | 1396734448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME134220) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 19018) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2021-01-20 |