| NPI | 1053707349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME162437) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 59091) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2025-07-19 |