| NPI | 1861644544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 118258) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 18402) |
| 208D00000X General Practice (Licence: PR 18402) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2024-06-25 |