| NPI | 1770726044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00666) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME139387) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 57.016655) | |
| 207V00000X Obstetrics & Gynecology (Licence: GA 97529) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2024-12-03 |