NPI | 1336368547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME101589) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 236615) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2021-09-20 |