| NPI | 1790782365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME128812) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 042560) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-03-19 |