| NPI | 1821381542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME125510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2025014601) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2025-06-06 |