| NPI | 1932186202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME105067) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV WV22001) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2019-02-26 |