| NPI | 1295282903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD481321) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 91252) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD70111468) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD230002) | |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2026-05-27 |