| NPI | 1134173487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME139013) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME139013) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-11-12 |