| NPI | 1992167472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME141399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-04036) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-12-01 |