| NPI | 1295791705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 049701) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 48104) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 48104) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2011-05-27 |