| NPI | 1043600679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME172416) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME172416) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036149062) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2025-08-26 |