| NPI | 1093007726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME157719) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101262709) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2024-07-17 |