| NPI | 1164833802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME141744) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 329404) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2025-04-17 |