| NPI | 1851624944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 12695) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME 104961) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2022-03-25 |