| NPI | 1851300495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME165821) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 252634) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-12-31 |