| NPI | 1851612543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME119052) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL32851) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2014-07-14 |