| NPI | 1669631099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 53621-21) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 4247) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2018-05-15 |