| NPI | 1649300112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME163417) |
| Additional Taxonomies | 174400000X Specialist (Licence: ID m8623) |
| 207V00000X Obstetrics & Gynecology (Licence: WY 7749A) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-10-26 |