| NPI | 1366976185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME149265) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME149265) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2021-05-25 |