NPI | 1528013596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 102984) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 223555) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2018-02-28 |