| NPI | 1437134335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME118153) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD26456) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2004027805) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2022-01251) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-01-10 |