NPI | 1093780207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 88404) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 220187) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2022-12-12 |