| NPI | 1972663433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301500861) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 212427) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD435150) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-04-19 |