| NPI | 1730179227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 47292) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME 73404) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-02-22 |