| NPI | 1366975708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME150520) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 227704) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 227704) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-05-14 |