| NPI | 1275791592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AL 30991) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 244876) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2015-06-04 |