| 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 | 2023-06-22 |