NPI | 1285160200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 333856) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 39) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-01-13 |