| NPI | 1235574401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 200046663) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.139668) |
| 207V00000X Obstetrics & Gynecology (Licence: OK 30017) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-08-17 |