| NPI | 1639468531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME151383) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 271059) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-08-18 |