NPI | 1174895882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A175124) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 282192) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 64432) | |
Enumeration Date | 2012-01-27 |
Last Update Date | 2025-03-10 |