| NPI | 1659562619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME107988) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA md.201425) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2020-02-03 |