| NPI | 1427311802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME134064) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101259473) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2018-11-29 |