| NPI | 1205144755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD61173228) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A113345) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2021-10-05 |