| NPI | 1366946329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME169047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 291729) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2024-06-18 |