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 |