| NPI | 1992166706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME166436) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 20026) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2024-07-02 |