| NPI | 1457847709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME155454) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 33452R) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-02-28 |