| NPI | 1437250750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2010014079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME90117) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-10-03 |