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 |