| NPI | 1639529464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 268534) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NC 2021-01676) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-11-28 |