| NPI | 1720195605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 19502) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0075058) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-02-27 |