| NPI | 1699022947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142863) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101264084) |
| 207V00000X Obstetrics & Gynecology (Licence: LA 303016) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2022-02-01 |