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 |