| NPI | 1467631838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NV 12923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD432900) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD432900) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD432900) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD432900) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2017-01-05 |