| NPI | 1124063441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MA 242806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 242806) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-01-18 |