| NPI | 1548342298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME136644) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WY 10272A) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-02-08 |