| NPI | 1518464874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 342840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 91071) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2026-08-20 |