| NPI | 1871576199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NH 19786) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 19786) |
| 207V00000X Obstetrics & Gynecology (Licence: CA G84755) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-09-19 |