| NPI | 1851611123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME132996) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME132996) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT198091) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-07-12 |