| NPI | 1952542839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME112817) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 112817) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2019-10-29 |