| NPI | 1366581118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME91435)  | 
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME91435)  | 
| Enumeration Date | 2007-02-06 | 
| Last Update Date | 2015-04-16 |