| NPI | 1912102104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME133006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101243301) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2018-07-31 |