| NPI | 1700015922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME115696) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 003570) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-04-17 |