| NPI | 1407295298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2020034752) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013017858) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME132489) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-11-24 |