| NPI | 1366421406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: WI 82155-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 313151) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MO 118594) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2023-08-14 |