| NPI | 1639638901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 280334) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME162084) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2023-08-14 |