| NPI | 1245498864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35 123680) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI LP01231) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-02-24 |