| NPI | 1609194349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME118745) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN14642) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2014-11-14 |