| NPI | 1477940864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME147014) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 82579) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2020-08-28 |