| NPI | 1780859298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101253523) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 225984) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 51676) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2016-07-22 |