| NPI | 1518947423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME47561) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN 11575) |
| 208D00000X General Practice (Licence: MI 4301042005) | |
| 208D00000X General Practice (Licence: FL 47561) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2021-08-03 |