| NPI | 1992188627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME141074) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 32033-R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-08-06 |