| 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 |