| NPI | 1346634391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101275010) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME138776) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-08-09 |