| NPI | 1396185997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME146168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME146168) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 288746) | |
| 208600000X Surgery (Licence: NY 288746) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 288746) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-07-20 |