| NPI | 1518137686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME128715) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 8899) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 60917) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2021-03-05 |