| NPI | 1285262048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME162572) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME162572) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-03-21 |