| NPI | 1225456452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: FL ME150064) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10049688) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME150064) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-06-22 |