| NPI | 1881623783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME112841) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 22347) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-08-11 |