NPI | 1275859654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 8141232-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.123429) |
Enumeration Date | 2010-04-11 |
Last Update Date | 2021-11-20 |