| NPI | 1043878028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME147499) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME147499) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-11-12 |