| NPI | 1265753511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-01957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD-447085) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA MD-41753) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2020-02-27 |