| NPI | 1811971898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D41449) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0041449) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101238598) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2022-02-24 |