NPI | 1144648320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 71203) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301105059) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-06-26 |