| NPI | 1942862628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MT218789) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD481404) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2023-06-19 |