| NPI | 1356467575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 207VX0201X) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301083778) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301083778) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-10 |