| NPI | 1407083751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 156091) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME119383) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 254432) | |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2021-12-17 |