| NPI | 1053579698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: PA MD466593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-02146) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD466593) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2022-06-10 |