| NPI | 1083972426 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 20A13154) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A13154) | 
| Enumeration Date | 2012-04-23 | 
| Last Update Date | 2017-03-13 |