| NPI | 1487984589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA MD42703) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI 13595) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2015-06-30 |