| NPI | 1003201716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 84326-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10535200) |
| 207V00000X Obstetrics & Gynecology (Licence: IA MD-51458) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA R-12041) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-08-15 |