| NPI | 1467445460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 221640) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD19637) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-07-26 |