| NPI | 1063822609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS15390) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT015864) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL OS15390) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-05-30 |