| NPI | 1578786802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD19735) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 20026) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-02-06 |