| NPI | 1356769418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME152785) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A129541) |
| 207V00000X Obstetrics & Gynecology (Licence: KY 53427) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-02-09 |