| NPI | 1578756243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME125195) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 60245777) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-08-02 |