| NPI | 1699092437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME145623) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D77666) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11833600) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2023-07-27 |