| NPI | 1669408555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 77935) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 77935) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME96036) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-10-03 |