| NPI | 1457738064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME171297) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A162053) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2025-02-28 |