| NPI | 1114238458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101266449) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD452185) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2019-10-24 |