| NPI | 1124349022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY CO727) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A117616) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-06-17 |