| NPI | 1235669631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME145210) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN24850) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |