| NPI | 1699062463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME132411) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD455311) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-04-04 |