| NPI | 1528049798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NE 24824) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 222953-1) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2013-01-29 |