| NPI | 1689892176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME120641) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 060-0003289) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 200900943) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2017-10-24 |