NPI | 1871734749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME122033) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME122033) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2021-09-21 |