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 |