| NPI | 1275749129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NE 26679) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 38290) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-06-25 |