| NPI | 1801048509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247512) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-56763) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME178172) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2026-07-09 |