| NPI | 1255745055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OR MD209376) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD209386) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-03-15 |