| NPI | 1750797114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 21444) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME147836) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-04-06 |