| NPI | 1467615757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME147689) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2012006593) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2021-03-24 |