| NPI | 1386649713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA G72001) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA G72001) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-11-26 |