| NPI | 1083682876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 71627-20) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 38956) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 38956) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-08-15 |