| NPI | 1306995287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA G59583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G59583) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-12-14 |