| NPI | 1881607208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME100807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61227490) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2025-01-14 |