| NPI | 1639347263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110654) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.203060) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2011-09-01 |