| NPI | 1215458328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 009668) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME167024) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2026-03-27 |