| NPI | 1568456853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME160442) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0430206) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2023-03-15 |