| NPI | 1639325590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AL 31691) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 31691) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125049641) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2020-12-16 |