| NPI | 1508113259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 284891) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD23182) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2022-05-25 |