| NPI | 1053528299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME135965) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME135965) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301092907) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-05-21 |