| NPI | 1295774818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VT 042.0012288) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 307144) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 307144) | |
| 207V00000X Obstetrics & Gynecology (Licence: VT 042.0012288) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2026-06-02 |