| NPI | 1881649812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME168929) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-086542) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-07-01 |