| NPI | 1588869994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D0078133) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT 191169) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 049475) | |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2016-05-31 |