| NPI | 1720099815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME143568) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD047014L) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2023-06-21 |