| NPI | 1750304564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME106307) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL29188) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-04 |