| NPI | 1730575762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 65143) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-11-09 |