| NPI | 1215005160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A111057) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME Ec-06-1092) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-02-11 |