| NPI | 1003803867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 22877) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IA 22877) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |