| NPI | 1316359482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD477353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD 4410) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2022-10-13 |