NPI | 1083972426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA 20A13154) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A13154) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2017-03-13 |