| NPI | 1164866778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME145601) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME145601) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME145601) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2020-08-04 |