| NPI | 1790072742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME157678) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 051852) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-07-04 |