| NPI | 1730441486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME135450) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 252272) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2020-10-26 |