NPI | 1265466809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 44543) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 44543) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2012-04-23 |