| NPI | 1003485533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME175475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222990) |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2025-07-11 |