| NPI | 1386138162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A201289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME169500) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2025-06-03 |