| NPI | 1508062860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110396) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN11754) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-07-21 |