| NPI | 1689742520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME DO2117) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME T0630) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2017-06-29 |