| NPI | 1790105476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101276143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME139108) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-12-06 |