| NPI | 1184980062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME161435) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-01811) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-12-12 |