| NPI | 1275777682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.121409) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD 24367) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: LA 301195) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2021-01-11 |