| NPI | 1518167378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME106668) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN9902) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-07-09 |