| NPI | 1841334091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME106540) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-07-14 |