| NPI | 1821358839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME144716) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME144716) |
| 207V00000X Obstetrics & Gynecology (Licence: MD P27666) | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-08-16 |