| 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 |