| NPI | 1275538001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME152286) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 105978) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2023-06-22 |