| NPI | 1750543260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME112625) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME11265) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-12-12 |