| NPI | 1740394097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME126164) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 152673) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-09-25 |