| NPI | 1699899468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 49598) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME116242) |
| 208000000X Pediatrics (Licence: WI 61088-20) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-06-08 |