| NPI | 1588776348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME98346) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 043500) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-10-24 |