| NPI | 1043497886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME140557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242904) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2024-01-17 |