| NPI | 1568726727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME149656) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 58075) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 58075) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2021-04-08 |