| 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 |