| NPI | 1003839267 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D64759)  | 
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0064759)  | 
| Enumeration Date | 2006-07-26 | 
| Last Update Date | 2009-07-15 |