NPI | 1396975520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD24526) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NJ 25MA10375000) |
207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 284912) | |
Enumeration Date | 2009-07-22 |
Last Update Date | 2021-04-29 |