| NPI | 1174895882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 64432) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 282192) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2021-09-02 |