| NPI | 1619136082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.099032) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL30774) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-02-24 |