| NPI | 1104208107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME141438) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 141438) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-01-11 |