| NPI | 1649275249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME96197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2004012768) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-01-10 |