| NPI | 1467654368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME114994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME 114994) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D72370) | |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2019-04-24 |