| NPI | 1538269204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME124999) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35085890) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2021-07-09 |