| NPI | 1720307804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME119189) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 14718) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-01-12 |