| NPI | 1417394818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273536) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME131985) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0089864) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-11-18 |