| NPI | 1386765501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME113651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 15390) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-06-26 |