| NPI | 1184884645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MN 53332) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT187949) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MN 105094) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2020-08-13 |