| NPI | 1780705129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME155401) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2020-03774) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL 30182) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-10-02 |