| NPI | 1508155904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME119384) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN57345) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2015-04-16 |