| NPI | 1083860753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD60866588) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2012005904) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2012005904) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2018-08-17 |