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 |