| NPI | 1669853024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME130277) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258442) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-02-11 |