| NPI | 1386660298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0060728) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME60728) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2019-08-01 |