| NPI | 1255751970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2021036903) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2021036903) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101020883) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-09-24 |