| NPI | 1003258138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: GA 73601) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 339992) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 07360) | |
| 207V00000X Obstetrics & Gynecology (Licence: CT 56075) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2026-04-20 |