| NPI | 1952472243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 239074) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 225622) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2022-01-13 |