| NPI | 1104878495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 89318) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME172585) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-08-21 |