| NPI | 1649561457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 2025-01475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 294442) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 294442) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-07-24 |