| NPI | 1598064693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME129950) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08897200) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2022-07-21 |