NPI | 1710206172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142074) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116022545) |
207V00000X Obstetrics & Gynecology (Licence: VA 0101255988) | |
Enumeration Date | 2010-05-25 |
Last Update Date | 2024-05-30 |