| NPI | 1871621136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 49654) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME151048) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2021-08-23 |