NPI | 1225477607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL OS14414) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS14414) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2024-08-20 |