| NPI | 1336119783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME131219) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101053044) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-04-22 |