| NPI | 1649477555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VT 042-0013490) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 49955) |
| 207V00000X Obstetrics & Gynecology (Licence: ME 018019) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-01-23 |