| NPI | 1134209695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 54784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2390091) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-04-04 |