| NPI | 1821054602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101268132) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101268132) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-01-16 |