| NPI | 1780995803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 61704) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 61704) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A128699) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125-057-984) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-08-23 |