| NPI | 1245204114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 45652) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 45652) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 57534) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-12 |