| NPI | 1447477633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME101231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 242733) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-09-15 |