| NPI | 1174986004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME163621) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A165733) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2024-01-05 |