| NPI | 1225294762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 59686) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL AL352005) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125055407) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-09-22 |