NPI | 1124352315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD446883) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 252954) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 252954) | |
Enumeration Date | 2009-09-22 |
Last Update Date | 2018-09-26 |