| NPI | 1063832194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301504991) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D84591) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301504991) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-09-09 |