| NPI | 1932171055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME107067)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2004-0827)  | 
| Enumeration Date | 2006-02-02 | 
| Last Update Date | 2024-08-09 |