| NPI | 1609004050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 14211814-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME114997) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-07-25 |