| NPI | 1700155330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: PR 19105) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME137565) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2024-04-30 |