| NPI | 1023546827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME166850) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 313679) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-05-01 |