NPI | 1992071377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME160223) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 65523) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2024-08-27 |