| NPI | 1700020062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 55106) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT194667) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-07-01 |