| NPI | 1760782817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A125372) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME108952) |
| 207V00000X Obstetrics & Gynecology (Licence: FL TRN14227) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2020-07-23 |