| NPI | 1245679984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD61179469) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 289283) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125063001) | |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2021-09-22 |