| NPI | 1568423168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME151858) |
| Additional Taxonomies | 202K00000X (Licence: CT 49003) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 49003) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-08-03 |