| NPI | 1619389053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 276409) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME EC141074) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2019-06-06 |