| NPI | 1073076279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME167952) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME167952) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2024-10-23 |