| NPI | 1114363496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MA 271036) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA NOT AVAILABLE) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 304966) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-07-06 |