| NPI | 1194987552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PR 19918) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME112166) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-06-14 |