| NPI | 1528592979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME155792) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274505) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2022-09-18 |