| NPI | 1215559612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME168947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME168947) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME168947) | |
| 208000000X Pediatrics (Licence: FL ME168947) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2024-08-26 |