| NPI | 1659407708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 54618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A94976) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2008-02070) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2012-11-01 |