| NPI | 1215450507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149796) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 33234) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-08-19 |