| NPI | 1902853336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 71696) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 71696) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-05-17 |