| NPI | 1770734824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142240) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 250566) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2020-10-21 |