| NPI | 1043581994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 20A11932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A11932) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2024-09-04 |